<Toenail Fungus/ Nail Energizer
Printer Form for Mail Order (Go to "File" and "Print") or Order Online
Please print clearly. Fields marked with an asterisk (*) are required to process this order.
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Customer Name:
Address:
City: State: Zip:
Day Phone: Eve. Phone: Fax: E-mail:
Qty Item Description Price Total
 1 Nail Energizer Toenail or Fingernail Treatment 18.95  
2 Nail Energizer "" 34.95
3 Nail Energizer "" 49.95
         
SUBTOTAL:  
SALES TAX:
(6% in GA only)		  
SHIPPING (USA ONLY): $4.95
TOTAL AMOUNT: $
PAYMENT INFORMATION
PAYMENT TYPE:* (Please select one.) No Cash or C.O.D. accepted. Check/money order payments accepted with postal mail orders ONLY.
  Credit Card   Check**   Money Order
** Make checks or money order payable to: MMT Group (checks must be in US dollars ONLY)

CREDIT CARD PAYMENT INFORMATION:
TYPE OF CARD:*
  Visa   MasterCard   American Express
CARD NUMBER:* (Must be 16 digits) EXP. DATE*
    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |
CARDHOLDER'S NAME AS IT APPEARS ON THE CARD:*
 
CARDHOLDER'S SIGNATURE:* (Orders can not be processed without signature)
X

Mail your order / check payable  to:

Faber Products
PO Box 901
Grayson, GA 30017

888-909-1658 
 

You may fax this to 770-207-0827 (if paying with Credit Card)

Toenail Fungus Treatment home page for hair styles and hair care products